Summit Healthcare Ipa Corp.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

SUMMIT HEALTHCARE IPA CORP.

Practice address

23049 Archibald Ave
Carson, CA 90745-4718

Phone

(310) 850-5630

Fax

(888) 444-9401

NPI assigned

Nov 14, 2018

Last updated

Nov 14, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark N Samonte, MDNPI 1114140233

Title

Ceo

Phone

(310) 850-5630

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Noel Samonte, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Carson, CA
  • NPI 1114140233
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1093284408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 E WASHINGTON BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402436",
            "telephone_number": "888-350-6599",
            "fax_number": "888-444-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23049 ARCHIBALD AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907454718",
            "telephone_number": "310-850-5630",
            "fax_number": "888-444-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTHCARE IPA CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "SAMONTE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-850-5630",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Suarez, COTA/L
• Veronica Suarez, RCP
• Michael Yoshio Sujishi, RSLD
• Summerann Styles
• Summit Healthcare Inc
• Summith Heallthcare Inc
• Sungold Homecare Services
• Sunny Kids Therapy Inc
• Sunnyday Hospice
• Sunvalley Psych, a Nursing Corporation

• Adult Medicine Physician in Carson, CA
• Providers in Carson, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.